Everything You Need to Know About Peripheral Nerve Stimulation

Peripheral Nerve Stimulation | Pain Treatment Centers of America

Living with chronic pain can be a challenging and debilitating experience. It can affect our daily activities, diminish our quality of life, and limit our ability to fully engage with others.


Fortunately, advancements in the medical field have paved the way for innovative solutions to alleviate chronic pain and improve overall well-being. For example, neuropathic pain is typically relieved by using antidepressant or anti-epileptic medication. However, alternative techniques like peripheral nerve stimulation (PNS) are proving to be more effective in alleviating chronic pain.


PNS is emerging as a promising and innovative approach to combat chronic pain. Read on to learn more about this remarkable technique that provides relief to people suffering from chronic pain.


How Does PNS Work?

Peripheral nerve stimulators are medical devices that interrupt pain signals before they reach the brain. PNS involves a minimally invasive surgical procedure to strategically place a small electrical device near one of the affected peripheral nerves or under the skin in the region of pain.


The electrode generates controlled electrical impulses directed toward the nerve transmitting the pain signals. By effectively overriding the pain signals, PNS helps to minimize their impact on the brain, providing significant relief from chronic pain.


Pre-PNS Procedure Trial Process

Patients who seek PNS treatment go through different evaluations and trials to assess if they are suitable candidates for this procedure. Here are some of the most common steps during a pre-trial process:


Evaluation

A pain management specialist thoroughly assesses patients to determine their eligibility and identify if they are suitable candidates for the procedure.


Pre-Trial Assessment

The patient undergoes imaging tests such as ultrasound to assess the peripheral nerves and surrounding tissues. In this stage, the specialist discusses the PNS surgical procedure, including risks and benefits.


What to Expect During a PNS Surgery

Prior to the surgery, you will meet with your surgeon to discuss the procedure in detail. This is an opportunity to address any questions or concerns you may have. You may also undergo certain medical tests and evaluations to ensure you are a suitable candidate for the surgery.


During PNS surgery, patients are given a local anesthetic so they can remain awake to allow for precise assessment of the electrodes and ensure their accurate placement. 


Peripheral nerve and field stimulation is different from spinal cord stimulation as it places the electrode over the nerve in the specific pain area rather than on the spinal cord where the nerve originates.


The procedure is conducted in two stages:


Placing the Electrode

Under the guidance of X-ray imaging, a neurosurgeon precisely positions an electrode over the targeted pain area. Throughout this stage, specialists conduct tests to determine if the patient feels the stimulation is in the correct location.


After placing the electrode, patients undergo a testing period that typically lasts around a week. During this trial, patients assess the effectiveness of PNS and make an informed decision about their long-term treatment plan.


Moving Towards a Permanent Solution

If patients experience positive results and find significant pain relief during the trial period, they return to the operating room for the placement of a permanent implant. This implant ensures that the benefits of PSN can last on a long-term basis.


Upon completion of the surgery, patients can expect a period of recovery and adjustment as they adjust to the stimulation and evaluate its impact on managing the pain. It's essential to maintain open communication with your healthcare team throughout this journey to address any concerns and ensure that the treatment is tailored to your specific needs.


Benefits of Peripheral Nerve Stimulation

When it comes to managing chronic pain, PNS offers a range of benefits that can significantly improve the quality of life for individuals seeking relief. PNS also has a high success rate with immediate results in most cases. 


It's important to have realistic expectations as this surgical procedure relieves the symptoms of chronic pain but does not represent a cure. Understanding the potential advantages of this treatment can empower patients to make informed decisions about their pain management journey. Here are some of the benefits of PNS:


Significant Relief

During the trial period, approximately two out of three patients can expect to experience substantial relief from their symptoms. This positive outcome often leads to the next step of receiving a permanent implant. In general, four of every 10 patients reported successful pain management with PNS. 


These numbers highlight the potential effectiveness of PNS in alleviating chronic pain.


Non-Invasive Alternative

PNS offers a non-invasive alternative to traditional pain management approaches. Unlike invasive surgeries that involve direct manipulation of the spinal cord, this technique focuses on placing the stimulating device directly over the affected nerve at the targeted pain area. This minimizes the need for extensive surgical procedures and reduces associated risks.


Improved Function and Quality of Life

By effectively blocking the pain signals from reaching the brain, peripheral nerve stimulation can significantly reduce pain intensity and frequency. This reduction in pain allows individuals to regain control over their lives, leading to improved physical function, enhanced mobility, and increased overall well-being. Engaging in daily activities that were once challenging or impossible becomes more achievable, enabling individuals to lead more fulfilling lives.


Personalized Response

PNS can be adjusted and personalized to meet the individual needs of each patient. The electrical impulses can be customized in terms of frequency, intensity, and duration, allowing for personalized pain management strategies tailored to specific conditions and pain thresholds. This adaptability ensures that patients can optimize their treatment and achieve the best possible outcomes.


Adjunct to Other Treatments

PNS can complement other pain management strategies, such as medication and physical therapy. It can be used in addition to these approaches to optimize pain relief and enhance overall outcomes. The flexibility and versatility of peripheral nerve stimulation make it a valuable tool in comprehensive pain management plans.


With proper evaluation, realistic expectations, and expert guidance, patients can explore the potential benefits of this or other innovative treatment options and find a path toward a more pain-free life. If you are dealing with any type of chronic pain,
Pain Treatment Centers Of America can provide the expert care and support you need to manage your chronic pain. Call us today at (844) 215-0731 or visit our website to learn more about how we can help you.

By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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